| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $795.20 | $7,484.00 | $11,798.00 | |
Cigna
| Facility | $3,438.00 | $3,438.00 | $3,438.00 | |
Horizon BCBS
| Facility | $10,303.25 | $12,359.29 | $23,570.44 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |